Evidence map›Paper›PMID 36294494›Full record

ReviewJournal of clinical medicine2022

Therapeutic Drug Monitoring of Subcutaneous Infliximab in Inflammatory Bowel Disease-Understanding Pharmacokinetics and Exposure Response Relationships in a New Era of Subcutaneous Biologics.

Robert D Little, Mark G Ward, Emily Wright, Asha J Jois, Alex Boussioutas, Georgina L Hold, Peter R Gibson, Miles P Sparrow

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Article
  7. Review
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  11. Review
  12. Pharmacogenomics of TNF inhibitors.Frontiers in immunology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Raising the bar in ulcerative colitis management.Therapeutic advances in gastroenterology · 2024
    Review
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Robert D LittleDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne 3004, Australia.ORCID 0000-0002-5314-6666
Mark G WardDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne 3004, Australia.ORCID 0000-0002-2840-0108
Emily WrightDepartment of Gastroenterology, St. Vincent's Hospital, Melbourne University, Melbourne 3004, Australia.
Asha J JoisDepartment of Gastroenterology & Clinical Nutrition, Royal Children's Hospital, Melbourne 3052, Australia.
Alex BoussioutasDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne 3004, Australia.
Georgina L HoldMicrobiome Research Centre, St. George Hospital, University of New South Wales, Sydney 2217, Australia.
Peter R GibsonDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne 3004, Australia.
Miles P SparrowDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne 3004, Australia.
Alfred Health · AURoyal Children's Hospital · AUThe University of Melbourne · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CT-P13 is the first subcutaneous infliximab molecule approved for the management of inflammatory bowel disease (IBD). Compared to intravenous therapy, SC infliximab offers a range of practical, micro- and macroeconomic advantages. Data from the rheumatological literature suggest that subcutaneous CT-P13 may lead to superior disease outcomes in comparison to intravenous infliximab. Existing studies in IBD have focussed on pharmacokinetic comparisons and are inadequately powered to evaluate efficacy and safety differences between the two modes of administration. However, emerging clinical trial and real-world data support comparable clinical, biochemical, endoscopic and safety outcomes between subcutaneous and intravenous infliximab in both luminal Crohn's disease and ulcerative colitis. Across the available data, subcutaneous CT-P13 provides relative pharmacokinetic stability and higher trough drug levels when compared to intravenous administration. The clinical impact of this observation on immunogenicity and treatment persistence is yet to be determined. Trough levels between the two methods of administration should not be compared in isolation as any subcutaneous advantage must be considered in the context of comparable total drug exposure and the theoretical disadvantage of lower peak concentrations compared to intravenous therapy. Furthermore, target drug levels for subcutaneous CT-P13 associated with remission are not known. In this review, we present the available literature surrounding the pharmacokinetics of subcutaneous CT-P13 in the context of therapeutic drug monitoring and highlight the potential significance of these observations on the clinical management of patients with IBD.

Indexed as

CT-P13infliximabsubcutaneoustherapeutic drug monitoring

Identifiers

PMID36294494
PMCPMC9605309
OpenAlexW4306837450

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.